PRIOR PRINTER'S NO. 37                         PRINTER'S NO. 476

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 27 Session of 1993


        INTRODUCED BY LLOYD, TOMLINSON, GEIST, PETRARCA, COY, DeLUCA,
           DeWEESE, FEE, HERMAN, PESCI, FAIRCHILD, MUNDY, LAUGHLIN,
           CAPPABIANCA, BATTISTO, CESSAR, JOSEPHS, TIGUE, PISTELLA,
           FARGO, VANCE AND WILLIAMS, JANUARY 27, 1993

        AS REPORTED FROM COMMITTEE ON PROFESSIONAL LICENSURE, HOUSE OF
           REPRESENTATIVES, AS AMENDED, MARCH 16, 1993

                                     AN ACT

     1  Empowering the General Counsel or his designee to issue
     2     subpoenas for certain licensing board activities; providing
     3     for hearing examiners in the Bureau of Professional and
     4     Occupational Affairs; providing additional powers to the
     5     Commissioner of Professional and Occupational Affairs; AND     <--
     6     further providing for civil penalties and license
     7     suspension.; and making repeals.                               <--

     8     The General Assembly of the Commonwealth of Pennsylvania
     9  hereby enacts as follows:
    10  Section 1.  Definitions.
    11     The following words and phrases when used in this act shall
    12  have the meanings given to them in this section unless the
    13  context clearly indicates otherwise:
    14     "DISCIPLINARY MATTER."  ANY MATTER SUBJECT TO A LICENSING      <--
    15  BOARD'S OR COMMISSION'S JURISDICTION IN WHICH THE LICENSING
    16  BOARD OR COMMISSION HAS THE AUTHORITY TO REFUSE, SUSPEND, REVOKE
    17  OR LIMIT A LICENSE, REGISTRATION, CERTIFICATE, OR PERMIT OR TO
    18  IMPOSE A CIVIL PENALTY OR OTHER DISCIPLINE UNDER ANY ACT.
    19     "Licensing boards."  Those departmental or administrative

     1  boards under the Bureau of Professional and Occupational Affairs
     2  in the Department of State.
     3     "Licensing commissions."  Those departmental or
     4  administrative commissions under the Bureau of Professional and
     5  Occupational Affairs in the Department of State.
     6  Section 2.  Investigatory subpoena power.
     7     The General Counsel or his designee shall have the power and
     8  his duty shall be to issue subpoenas upon application of an
     9  attorney responsible for representing the Commonwealth in
    10  disciplinary matters before a licensing board or commission for
    11  the purpose of investigating alleged violations of the
    12  disciplinary provisions administered by a licensing board or
    13  commission; provided that, if their disclosure is subject to a
    14  privilege provided by law, patient or client records may not be
    15  subpoenaed without the consent of the patient or client or
    16  without order of a court of competent jurisdiction showing that
    17  the records are reasonably necessary for the conduct of the
    18  investigation. The court may impose such limitation on the scope
    19  of the subpoena as may be necessary to prevent unnecessary
    20  intrusion into patient or client confidential information. The
    21  attorney responsible for representing the Commonwealth in
    22  disciplinary matters before a licensing board or commission is
    23  authorized to apply to Commonwealth Court to enforce the
    24  subpoenas. Nothing in this clause shall be construed to excuse a
    25  person from producing documents and records as requested by a
    26  licensing board or commission under any other provision of law.
    27  Section 3.  Hearing examiners.
    28     (a)  Appointment.--Notwithstanding any other provision of
    29  law, the Commissioner of the Bureau of Professional and
    30  Occupational Affairs, after consultation with the licensing
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     1  boards and commissions, shall appoint such hearing examiners as
     2  may be necessary to conduct hearings in disciplinary matters
     3  before a licensing board or commission. EACH LICENSING BOARD AND  <--
     4  COMMISSION SHALL HAVE THE POWER TO DECIDE IF A SPECIFIC
     5  DISCIPLINARY MATTER OR TYPE OF DISCIPLINARY MATTER IS TO BE
     6  HEARD BY THE LICENSING BOARD OR COMMISSION ITSELF OR BY A
     7  HEARING EXAMINER APPOINTED PURSUANT TO THIS SUBSECTION.
     8     (b)  Regulations.--The Commissioner of Professional and
     9  Occupational Affairs, after consultation with the licensing
    10  boards and commissions, shall have the power to promulgate
    11  regulations setting forth the functions, powers, standards,       <--
    12  procedures and duties PROCEDURAL RULES to be followed by any      <--
    13  such hearing examiners appointed to conduct IN THE CONDUCT OF     <--
    14  hearings in disciplinary matters before a licensing board or
    15  commission. ALL PROCEEDINGS SHALL BE CONDUCTED IN ACCORDANCE      <--
    16  WITH THE PROVISIONS OF 2 PA.C.S. (RELATING TO ADMINISTRATIVE LAW
    17  AND PROCEDURE).
    18     (c)  Powers.--Such hearing examiners shall have the power to
    19  conduct hearings in accordance with applicable statutes, RULES    <--
    20  and regulations and, to issue subpoenas requiring the attendance  <--
    21  and testimony of individuals or the production of pertinent
    22  records or other papers by persons whom they believe have
    23  information relevant to any matters pending before the examiner
    24  AND TO ISSUE DECISIONS.                                           <--
    25     (d)  Time periods.--In all disciplinary matters before a
    26  licensing board or commission, hearings shall commence within 90
    27  days after the date on which an answer is filed. Any continuance
    28  granted prior to the commencement of the hearing shall toll the
    29  90-day requirement by the period of the continuance. A decision
    30  shall be rendered within 180 days after the record is closed.
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     1  The board or commission shall render a final adjudication or
     2  decision on any exceptions to the decision of a hearing examiner
     3  or any applications for review within 90 days of the filing of
     4  such exceptions or applications, provided that a board or
     5  commission may delegate to a hearing examiner the authority to
     6  render a final adjudication or decision in such cases as deemed
     7  appropriate.
     8  Section 4.  Additional powers for Commissioner of Professional
     9                 and Occupational Affairs.
    10     In addition to the powers and duties imposed under law, the
    11  Commissioner of Professional and Occupational Affairs, or his
    12  designee, shall be a member of each of the licensing boards and
    13  commissions except the State Board of Certified Real Estate
    14  Appraisers and the Navigation Commission for the Delaware River
    15  and its Navigable Tributaries. The Commissioner of Professional
    16  and Occupational Affairs, or his designee, may serve as the
    17  designee of the Secretary of the Commonwealth on the Navigation
    18  Commission for the Delaware River and its Navigable Tributaries.
    19  Section 5.  Civil penalties.
    20     (a)  Authorization.--The Commissioner of Professional and
    21  Occupational Affairs, after consultation with the licensing
    22  boards and commissions, shall have the power to adopt a schedule
    23  of civil penalties for operating without a current, registered,
    24  unsuspended and unrevoked license, registration, certificate or
    25  permit and for violating any provision of their respective acts
    26  or regulations relating to the conduct or operation of a
    27  business or facility licensed by such licensing boards and
    28  commissions. THE SCHEDULE OF PENALTIES SHALL NOT BE APPLICABLE    <--
    29  TO DISCIPLINARY MATTERS UNDER THE JURISDICTION OF A LICENSING
    30  BOARD OR COMMISSION UNLESS THAT LICENSING BOARD OR COMMISSION
    19930H0027B0476                  - 4 -

     1  HAS APPROVED THE SCHEDULE. The schedule of penalties, guidelines
     2  for their imposition and procedures for appeal shall be
     3  published in the Pennsylvania Bulletin, provided that the
     4  commissioner shall, within two years of such publication,
     5  promulgate a regulation setting forth the schedule of penalties,
     6  guidelines and procedures. Any such penalty shall not exceed the
     7  sum of $500 $1,000. Duly authorized agents of the bureau shall    <--
     8  have the power and authority to issue citations and impose
     9  penalties for any such violations. Any such penalty imposed may
    10  be appealed to a hearing examiner or the licensing board or
    11  commission pursuant to the regulations promulgated under section
    12  3(b). If the appeal is initially to a hearing examiner, the
    13  relevant licensing board or commission shall render a decision
    14  on any exceptions to the decision of the hearing examiner or on
    15  any applications for review in accordance with section 3(d). All
    16  proceedings shall be conducted in accordance with the provisions
    17  of 2 Pa.C.S. (relating to administrative law and procedure). If   <--
    18  a penalty is imposed under this subsection, no additional civil
    19  penalty may be imposed for the same act.
    20     (b)  Additional powers.--In addition to the disciplinary
    21  powers and duties of the boards and commissions within the
    22  Bureau of Professional and Occupational Affairs under their
    23  respective practice acts, boards and commissions shall have the
    24  power, respectively:
    25         (1)  To impose discipline on any licensee, registrant,
    26     certificate holder or permit holder who violates a lawful
    27     disciplinary order of the board.
    28         (2)  To impose discipline on any licensee, registrant,
    29     certificate holder or permit holder who aids and abets the
    30     unlicensed practice of a profession, occupation or business.
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     1         (3)  To levy a civil penalty of not more than $1,000 on
     2     any corporation, partnership, institution or, association OR   <--
     3     SOLE PROPRIETORSHIP, which aids and abets any individual in
     4     the unlicensed practice of a profession. This penalty shall
     5     not, however, be levied against any person solely as a
     6     consequence of that person being a patient or client of the
     7     unlicensed individual.
     8     (C)  RESTRICTIONS.--ANY DECISIONS RENDERED BY A LICENSING      <--
     9  BOARD OR COMMISSION ON ANY EXCEPTIONS TO THE DECISION OF A
    10  HEARING EXAMINER OR ON ANY APPLICATION FOR REVIEW IN ACCORDANCE
    11  WITH SECTION 3(D) TO IMPOSE A CIVIL PENALTY PURSUANT TO THIS
    12  SECTION SHALL REQUIRE THE SAME NUMBER OF VOTES REQUIRED FOR THE
    13  LICENSING BOARD OR COMMISSION TO IMPOSE A CIVIL PENALTY UNDER
    14  ANY OTHER ACT. NOTHING IN THIS SECTION SHALL BE CONSTRUED TO
    15  RESTRICT THE POWERS AND DUTIES UNDER ANY OTHER ACT OF A
    16  LICENSING BOARD OR COMMISSION IN DISCIPLINARY MATTERS, EXCEPT
    17  THAT A LICENSING BOARD OR COMMISSION MAY NOT IMPOSE A CIVIL
    18  PENALTY UNDER ANY OTHER ACT FOR THE SAME VIOLATION FOR WHICH A
    19  CIVIL PENALTY HAS BEEN IMPOSED PURSUANT TO THIS SECTION.
    20     (c) (D)  Status of civil penalty.--Any civil penalty imposed   <--
    21  pursuant to this section or imposed by any licensing board or
    22  commission under any other act shall be a judgment in favor of
    23  the Bureau of Professional and Occupational Affairs upon the
    24  person or the property of the person upon whom the civil penalty
    25  is imposed. The Attorney General shall be responsible for
    26  enforcing such judgments in courts of competent jurisdiction in
    27  accordance with the provisions of 42 Pa.C.S. (relating to
    28  judiciary and judicial procedure).
    29     (d) (E)  Definition.--As used in this section, the term        <--
    30  "unlicensed practice" means:
    19930H0027B0476                  - 6 -

     1         (1)  practicing a profession or occupation or operating a
     2     business for which a license, registration, certificate or
     3     permit is required without holding a valid, unexpired,
     4     unrevoked or unsuspended authority to do so; or
     5         (2)  representing to the public or any person, through
     6     offerings, advertisements or the use of a title that the
     7     individual is qualified to practice a profession, occupation
     8     or business for which a license, registration, certificate or
     9     permit is required without holding a valid, unexpired,
    10     unrevoked or unsuspended authority to do so.
    11  Section 6.  Suspensions.                                          <--
    12     (a)  Automatic suspension.--A license, registration,
    13  certificate or permit of a person shall automatically be
    14  suspended upon imprisonment because of conviction under Federal
    15  or State law or the laws of any other state of insurance fraud
    16  or Medicaid or Medicare fraud, such suspension to be concurrent
    17  with the period during which such person is imprisoned because
    18  of the conviction.
    19     (b)  Required proceedings.--An immediate investigation shall
    20  be initiated to determine if the license, registration,
    21  certificate or permit of a person should be suspended as
    22  follows:
    23         (1)  Upon denial of participation in the Medicaid or
    24     Medicare program because of a violation of either program as
    25     determined under Federal or State law or the laws of any
    26     other state.
    27         (2)  Upon suspension or revocation by the United States
    28     or any other state of a license, registration, certificate or
    29     permit to practice in the United States or other state.
    30     (c)  Longer suspensions.--Nothing in this section shall be
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     1  construed to prohibit a licensing board or commission from
     2  imposing a longer suspension than prescribed by subsection (a),
     3  provided that the board or commission shall impose a longer
     4  suspension only after notice and an opportunity to be heard and
     5  that the automatic suspension shall not be stayed pending a
     6  decision by the board or commission on whether to impose a
     7  longer suspension.
     8     (d)  Definition.--As used in this section, the term
     9  "conviction" shall include a finding or an admission of guilt, a
    10  plea of nolo contendere, probation without verdict, Accelerated
    11  Rehabilitative Disposition or disposition in lieu of trial.
    12  Section 7 6.  Reports.                                            <--
    13     Licensing boards and commissions shall submit annually to the
    14  Consumer Protection and Professional Licensure Committee of the
    15  Senate and to the Professional Licensure Committee of the House
    16  of Representatives a report containing the following:
    17         (1)  Description of the types of complaints received.
    18         (2)  Status of cases.
    19         (3)  Total number of cases and type of disciplinary
    20     action taken.
    21         (4)  Percentage of disciplinary actions in relation to
    22     the total number of licensees.
    23         (5)  Number of closed cases.
    24         (6)  Average number of days to close a case.
    25         (7)  Number of revocations and suspensions.
    26         (8)  Percentage of revocations and suspensions in
    27     relation to the total number of licensees.
    28  Section 8 7.  Repeals.                                            <--
    29     All acts or parts of acts are repealed insofar as they are
    30  inconsistent with the provisions of this act.
    19930H0027B0476                  - 8 -

     1  Section 9 8.  Applicability.                                      <--
     2     Section 5 of this act shall apply only to disciplinary
     3  proceedings commenced on or after the effective date of this
     4  act.
     5  Section 10 9.  Effective date.                                    <--
     6     This act shall take effect in 60 days.
















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